scholarly journals Studi Fenomenologi: Pengalaman Primipara Saat Mengalami Depresi Postpartum

2020 ◽  
Vol 4 (2) ◽  
pp. 81
Author(s):  
Puspita Palupi

ABSTRAKLatar belakang: Melahirkan umumnya merupakan suatu peristiwa yang menyenangkan, di sisi lain kehadiran anggota baru dalam kehidupan perempuan tidak selamanya merupakan kebahagiaan tersendiri. Perempuan yang mengalami kehamilan dan melahirkan memerlukan penyesuaian. Gangguan emosional dapat dialami oleh perempuan pasca persalinan seperti postpartum blues, depresi postpartum maupun psikosis postpartum. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pengalaman primipara saat mengalami depresi postpartum. Metode: Penelitian ini merupakan penelitian kualitatif dengan desain fenomenologi deskriptif. Data diperoleh melalui metode wawancara mendalam. Partisipan sejumlah enam orang meliputi primipara yang melahirkan secara spontan maupun dengan tindakan yang diperoleh melalui purposive sampling. Data yang dikumpulkan berupa hasil rekaman wawancara dan catatan lapangan. Data dianalisis dengan metode Collaizi. Hasil: didapatkan empat tema yaitu: (1) Melahirkan merupakan penderitaan dan membawa konsekuensi finansial; (2) Perubahan psikologis postpartum dan merasa menjadi orang yang berbeda dengan sebelumnya; (3) Ada hambatan dalam mengurus diri sendiri dan perawatan pada anak; dan (4) Ketidaksiapan menjadi ibu pada primipara. Simpulan: Hasil penelitian diharapkan dapat memberikan gambaran pada petugas kesehatan khususnya perawat maternitas tentang pentingnya memahami masalah gangguan adaptasi postpartum khususnya depresi postpartum pada primipara.Kata Kunci: depresi postpartum, primipara, postpartumPhenomenological Study: the Experience of Primiparous Mother with Postpartum Depression ABSTRACTBackground: Childbirth as a happy event, but on the other hand the presence of a new member in women’s lives not always as a great pleasure. Women who experience pregnancy and childbirth require adjustment. Emotional disorders could be experienced by women after childbirth as postpartum blues, postpartum depression and postpartum psychosis. Objective: The objective of this study was to obtain the experience postpartum depression in primiparous. Method: This study used phenomenological descriptive design. Data were collected using in-depth interview method. The participants of this study were six primiparous mothers who giving birth either spontaneously or with other methods that obtained by purposive sampling. Data collected were interview recording and field notes. Data was analyzed using Collaizi techniques. This study identified four themes: (1) Delivery as a suffering and brought financial consequency; (2) Psychological change and felt like to be a different person; (3) Barriers in self care and child care; (4) Unreadiness to become primiparous mother. Discussion: Research result were expected to provide an overview to health care workers especially maternity nurses about the necessity to understand the problem of adaptation disorders, especially postpartum depression for primiparous mothers. Keywords: postpartum depression, primiparous, postpartum

Author(s):  
Ida Maryati ◽  
Niken Fitri Astuti ◽  
Tetti Solehati

AbstractMental health is a global problem including postpartum blues.  Woman's perception of family’s support may increase postpartum blues symptoms. The purpose of this study was to describe the perceptions of women with postpartum blues towards family supports in Al Islam Hospital, Bandung, Indonesia. The design was descriptive and samples were chosen using the purposive sampling technique. The number of respondents was 35 women, and the data were gathered using two questioners. There were family support and modification of Kennerly and Gath's questioner. The results showed that most of respondent's perceived family provided emotional support 75%, instrument support 51%, reward support 54%, and informational support 54%. Based on the result, it is an opportunity for the hospital to provide counseling or health education to patient or family about the patient need on family support.Keywords: Family Support, Perception, Postpartum Blues


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahboobeh Asadi ◽  
Mahnaz Noroozi ◽  
Mousa Alavi

Abstract Background Numerous changes occur in different aspects of women’s lives in the postpartum period. Women’s adjusting with problems and taking advantage of this opportunity can develop their personality. In this regard, accurate knowledge of their experiences and feelings is necessary to help them to benefit from this period. Therefore, the present study aimed to explore the experiences related to postpartum changes in women. Methods In the present qualitative study, 23 participants, including women of childbearing age who gave birth and healthcare providers (midwives and obstetricians) in Isfahan, Iran were selected using purposive sampling with a maximum variation strategy. Data were collected through in-depth semi structured interviews, field notes, and daily notes, and simultaneously analyzed using the conventional qualitative content analysis. Results The data analysis results led to the extraction of three main categories including “feeling of decreased female attractiveness” (with two sub-categories of “ feeling of decreased beauty” and “feeling of decreased sexual function”), “feeling of insolvency and helplessness” (with two sub-categories of “physical burnout”, and “mental preoccupations”) and “beginning a new period in life” (with three sub-categories of “changing the meaning of life”, “feeling of maturity” and “deepening the communication”). Conclusions Findings of this study can provide a good context for designing interventions to improve the women’s quality of life by explaining and highlighting their experiences in the postpartum period. In this regard, providing sufficient empathy, social and psychological support from family members (especially husband), performing appropriate educational interventions and also regular assessment of women’s psychological state by healthcare providers in postpartum period can reduce their concerns and help to improve their health.


2021 ◽  
Vol 5 (2) ◽  
pp. 57
Author(s):  
Dea Aprilya

ABSTRAKKekerasan dalam rumah tangga adalah perbuatan yang dilakukan terhadap seseorang dalam bentuk fisik, verbal, seksual, dan psikologis yang menyebabkan penderitaan dan penelantaran rumah tangga. Tujuan: Mengetahui lebih dalam tentang pengalaman perempuan korban Kekerasan Dalam Rumah Tangga (KDRT) pada masa kehamilan di wilayah kerja Puskesmas Kampung Kawat, Kalimantan Barat. Metode: Desain penelitian ini menggunakan pendekatan fenomenologi. Penentuan partisipan menggunakan purposive sampling dan snow ball.  Sebanyak 8 partisipan terlibat dalam penelitian ini. Pengumpulan data dilakukan dengan cara in-depth interview dengan menggunakan catatan lapangan dan perekam suara.  Data dianalisis dengan metode Colaizzi.  Hasil: Penelitian ini menghasilkan 6 tema yaitu bentuk kekerasan yang diterima oleh responden selama menjadi korban KDRT pada masa kehamilan, Masalah yang timbul pada kehamilan akibat KDRT, Mekanisme koping yang dilakukan korban KDRT, Perasaan yang dirasakan responden sebagai korban KDRT, Penyebab terjadinya KDRT pada masa kehamilan, Hal-hal yang diinginkan responden terhadap pelayanan kesehatan. Diskusi: pengalaman perempuan korban kekerasan dalam rumah tangga pada masa kehamilan memberikan dampak buruk terhadap ibu maupun janin. Hal-hal tersebut terlihat pada ungkapan-ungkapan yang diberikan partisipan bahwa perbuatan yang mereka terima masih membekas hingga saat ini, meskipun sudah tidak membekas pada fisik, namun masih membekas pada batin. Kesimpulan: Hasil penelitian ini dapat dikembangkan pada penelitian lebih lanjut dan menjadi tambahan informasi dalam dunia pendidikan, serta menambah wawasan dan motivasi perawat maternitas dalam memberikan asuhan keperawatan, misalnya pendampingan pada pasangan yang menikah di usia muda dengan memberikan edukasi terkait kesiapan pasangan dalam memasuki kehidupan berumah tangga.Kata Kunci: Kehamilan, kekerasan dalam rumah tangga, perempuan  Experience of Women Suffering from Domestic Violence During PregnancyABSTRACTDomestic violence is a physical, verbal, sexual, and psychological act committed against a person which causes suffering and neglect of the household. Objective: To reveal further the experience of women suffering from Domestic Violence during pregnancy in the working area of the Kampung Kawat Public Health Center, West Kalimantan. Methods: This research employed a phenomenological approach. Participants were taken using purposive sampling and snow ball. 8 participants were involved in this research. Data was collected by means of in-depth interviews using field notes and voice recorders. Data were analyzed by using the Colaizzi method. Results: This research resulted in 6 themes, namely forms of violence received by respondents while being victims of domestic violence during pregnancy, problems arising in pregnancy due to domestic violence, coping mechanisms performed by victims of domestic violence, feelings experienced by respondents as victims of domestic violence, causes of domestic violence during pregnancy, things that respondents wanted from health services. Discussion: The experience of women suffering from domestic violence during pregnancy has a negative impact on the mother and fetus. These can be seen in their expressions that the actions they receive are still imprinted today. Although no longer physically imprinted, but they are still imprinted on the mind. Conclusion: The research results can be developed in further research and serve as additional information in education, as well as add insight and motivation for maternity nurses in providing nursing care, for example mentoring couples who marry at a young age by providing education about the readiness of couples to enter a married life.Keywords: Pregnancy, domestic violence, women


Author(s):  
Philip Wolfson ◽  
Rob Cole ◽  
Kara Lynch ◽  
Cassandra Yun ◽  
Jason Wallach ◽  
...  

Abstract: There is no available data on the secretion and concentration of ketamine and its metabolites in breastmilk. There are statements in the literature made as to the safety of the use of ketamine in lactating women, though these are unsupported. This information is pertinent for the treatment of breastfeeding women who may have depression, PTSD, postpartum depression, and other emotional difficulties and would benefit from ketamine treatment. The objective of this study was to measure the presence and concentration of ketamine in breastmilk and three of its metabolites. We have provided a longitudinal pharmacokinetic analysis of the presence of ketamine and several of its major metabolites (norketamne, dehydronorketamine and hydronorketamine) in 4 women receiving 2 different intramuscular doses of ketamine—0.5mg/kg and 1.0mg/kg. Our results demonstrate the insignificance of ketamine’s presence In breast milk after a 12-hour period of suspension. Given ketamine’s proven record of effectiveness for the treatment of depression, and its intermittent use for this purpose, our data support the safety of its administration for the treatment of postpartum depression (PPD)and other emotional disorders during a woman’s chosen period to provide breast milk to her child without significant interruption or exposure. This provides the necessary data for the study of ketamine assisted psychotherapy as a potential treatment of postpartum emotional disorders without the loss of the relationship between mother and child which breast feeding so vitally provides. We review conventional pharmacologic treatments involved in the treatment of PPD.


2020 ◽  
Vol 1 (1) ◽  
pp. 61-70
Author(s):  
Agnes Mahayanti ◽  
Intansari Nurjannah ◽  
Widyawati

Background: The postpartum period was a physical and psychological adaptation process. Psychological disturbances could present in form of postpartum blues, postpartum depression, and postpartum psychosis. Objective: The objective of this research was to determine the incidence of postpartum depression, identify predictors of postpartum depression and identify the dominant predictors of postpartum depression. Methods: this research used a cross sectional design. Sample were pregnant women which were chosen by random sampling technique. Data was collected with questionnaire to measure the predictors of postpartum depression was carried out with the Revision Postpartum Depression Predictors Inventory (PDPI) questionnaire and to measure depression scores used with the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was done by univariate and bivariate analysis with with chi-square statistical tests and multivariate with logistic regression tests. Results: The results showed that the significant predictors were economic status, self-esteem, marital satisfaction, postpartum blues, and prenatal depression. The dominant predictor factor is satisfaction in marriage with a t value of 2.778 times. Conclusion: The results of the study show that marital satisfaction is a dominant predictor of postpartum depression, indicating that marital satisfaction or relationship quality is one of the important support systems because of the need for partner involvement in care actions during the pregnancy period until with the puerperium as efforts to prevent postpartum depression.     Keywords: postpartum depression, postpartum period, postpartum bues


2019 ◽  
pp. 135910531985904 ◽  
Author(s):  
Nicola Bray ◽  
Katrina L Grasby ◽  
Penelope A Lind ◽  
Jodie N Painter ◽  
Lucía Colodro-Conde ◽  
...  

This study examined the extent to which psychosocial impact of nausea and vomiting during pregnancy predicts postpartum depression using a retrospective design. Data from a cross-sectional survey investigating women’s experiences of nausea and vomiting during pregnancy were used ( N = 861). Hierarchical logistic regression models revealed that the psychosocial impact of nausea and vomiting in pregnancy appears to be predictive of postpartum depression, independent of depression status before and during pregnancy. Our findings indicate that assessing the psychosocial impact of nausea and vomiting in pregnancy during antenatal care may identify women at risk of postpartum depression.


Sociology ◽  
2013 ◽  
Author(s):  
Claudia Geist ◽  
Bethany Gull

Defining the meaning of motherhood is more complex than once thought. Due to technological and legal changes there is more and more variation among mothers with respect to age, marital status, and sexual orientation. Adoption has long shown that social motherhood is not contingent on giving birth, and surrogacy and in vitro fertilization now create a possible distinction between the gestational mother and the genetic mother. As a result, the very definition of who is a mother can be contentious. The very process of conception, pregnancy, and birthing has undergone much transition, with much greater involvement of medical professionals. The meanings associated with motherhood and motherhood practices vary across historical, sociocultural, and political contexts. Despite the great variation, even within specific countries at one point in time in the practices of motherhood, discourses about what exactly constitutes “good” mothering and who should and should not mother exist. Those at the “frontier” of motherhood, such as queer mothers, continue to shape and reshape the very concept of motherhood and mothering. For many mothers this means they are caught between cultural expectations on how to mother and the realities of their everyday life: for example, breastfeeding practices and childcare arrangements. Although rates of mothers’ labor-force participation are high or increasing in many countries, mothers still face the primary burden of arranging, managing, and even financing childcare solutions for their children; work-family conflict remains a problem for mothers much more so than for fathers. Polices designed to ease the conflict between employment and motherhood, both those implemented by governments and those created by employers, vary greatly across countries, which reemphasizes the context dependency of the meaning of motherhood for women’s lives. Many aspects of research on motherhood suggest that motherhood, and especially the link between motherhood and employment continues to be an important component of persistent gender inequality. In addition to contributing to inequalities between men and women, and between women within any given society, motherhood also contributes to global inequality (through the transnational market for care workers), international adoptions, and international surrogacy.


2008 ◽  
Vol 41 (4) ◽  
pp. 889-913 ◽  
Author(s):  
Candace Johnson

Abstract. In this paper, I examine the theoretical debates concerning “medicalization” in relation to the empirical trend toward increased demand for “natural” options for childbirth. Many feminist theorists have argued that medical intervention in pregnancy and childbirth is both unwarranted and disempowering and devalues women's own abilities and experiences. Further, it is argued that medicalization (of seemingly natural events) is particularly damaging for women and other marginalized people. In this paper, I explore the claims (of both providers and consumers) concerning medical care for pregnancy and childbirth among privileged populations and ask why rejection of medical care for pregnancy and childbirth is not proportional to disadvantage. It appears to be the case that criticism of medical intervention in pregnancy and childbirth is strongest among privileged women and is expressed consistently as preference for “natural,” “traditional” or “normal” approaches and practices. Reverence for the natural, I argue, is a political claim that asserts social position, identity, and resistance. I consider this political claim to be embodied and demonstrated in the occurrence of a physical and psychic duality, a “split subjectivity,” that is exacerbated by the sharpness of the public-private divide in women's lives.Résumé. Dans cet article, j'examine le débat théorique sur la médicalisation à la lumière de la vogue actuelle croissante des options plus naturelles pour l'accouchement. De nombreux auteurs féministes ont soutenu que les interventions médicales durant la grossesse et l'accouchement étaient injustifiées et qu'elles privaient les femmes de leur autonomie, tout en dévaluant leur expérience et leurs aptitudes naturelles. De même, la médicalisation (de phénomènes apparemment naturels) est, selon certains, particulièrement néfaste pour les femmes et les groupes marginalisés. Dans cet article, j'explore les affirmations (à la fois des prestataires et des bénéficiaires) concernant l'assistance médicale durant la grossesse et l'accouchement parmi les populations favorisées et je soulève la question de savoir pourquoi le rejet de l'assistance médicale durant la grossesse et l'accouchement n'est pas surtout le fait des milieux défavorisés. Il semble, en effet, que les critiques envers les interventions médicales durant la grossesse et l'accouchement proviennent surtout des femmes de milieux favoriséset que ces dernières manifestent de manière constante une préférence pour les approches et les pratiques «naturelles», «traditionnelles» ou «normales». La révérence envers le naturel est, selon moi, une revendication politique afin d'affirmer sa position sociale, son identité et sa résistance. Je considère que cette revendication politique est incarnée et démontrée par l'existence d'une dualité physique et psychique, une «subjectivité divisée» qui est exacerbée par l'acuité de la division entre le monde public et le monde privé dans la vie des femmes.


2014 ◽  
Vol 3 (2) ◽  
pp. 52-58
Author(s):  
SUPARNO EKO W. ◽  
GUMGUM GUMELAR ◽  
ARIF WIBISONO

This study aims to determine the effect of self-esteem to buying intention a fake football jersey of adolescents in Bogor city. The subject of this study is amounted to 70 respondents. The sample character of this study is adolescents aged from 15-18 years old, and the gender is man or women and football fans. The type of this study is quantitative study and the technique that researched use is non-probability purposive sampling.
The researched used questionnaire technique to collect all data , the questionnaire that researched used is instrument of self-esteem, which is adapted from the Coopersmith Self-Esteem Inventory-School form and instrument of intention of buying Shukla with add three items of another buying intention, static analyst that used Based on research result, showing that there is significant influence between self-esteem against buying intention , at the R square value, the result of this study researched earned a value amounted of 0,150(15%),that means is self-esteem give influence amounted 15% against buying intention.


2017 ◽  
Vol 5 (1) ◽  
pp. 21
Author(s):  
Cindy Kusuma Dewi

Performance evaluation was showed that average service time from January to October 2016 was 35.56 minutes. The average service time ensuring provision of medical records of outpatients was under targets because the standard of service time of the Minister of Health No. 129 at 2008 is <10 minutes. This research aimed to determine the information quality of medical record documents outpatients as helped efforts to improve the information quality of medical record documents. This was a descriptive study with cross-sectional design. Data was collected through observation outpatient medical record on December. The samples consisted 115 medical record documents. The sampling method used was random sampling. Variable used by researchers was the quality dimensions of The Product and Service Performance for Information Quality Model. The results showed the dimensions free of error of 68.33%, dimensions of concise representation of 58.44%, and the dimensions of completeness by 55.56%, and dimensions of consistent representation of 52.22%. Based on research result, average score of information quality assessment were good enough. Recommendation for Medical Record Departementbased on research results was made guidelines or standard operating procedures could be used to increase the quality of medical record documents. Keywords: assessment, dimension, information quality, Medical Record Document,outpatient


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